Richard Flynn, LCPC, ATR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.009082 Issued in IL

Practice address

801 Skokie Blvd Ste 222
Northbrook, IL 60062-4027

Phone

(773) 991-6926

Fax

(847) 785-1567

NPI assigned

Jun 24, 2014

Last updated

Dec 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1225443716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SKOKIE BLVD STE 222",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624027",
            "telephone_number": "773-991-6926",
            "fax_number": "847-785-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SKOKIE BLVD STE 222",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624027",
            "telephone_number": "773-991-6926",
            "fax_number": "847-785-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LCPC, ATR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.009082",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "14-088",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225443716",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.